NPI | 1356788665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3800) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04217) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2022-04-01 |